MetLife has become aware of a recent phishing attack against some of our customers. ‘Phishing’ is a fraudulent attempt to obtain an individual’s personal information, often through a misleading email, text or other online communication. Keeping your personal information secure is a top priority of MetLife. That's why we encourage you to take precautions to protect your personal data, and why we do not ask you to verify your personal or account information by email, text message or online. If you suspect you received a phishing email, please forward it to: phish@metlife.com. Delete the email after you forward it, and do not click on any links it contains. If you believe you entered information into a linked website, change your login information immediately. For helpful hints to protect your personal information, visit the following website: https://www.consumer.ftc.gov/articles/0003-phishing

Policy holders, please log in here:

Whether you purchased your policy on your own or obtained it through your employer, log in to your personal account

If you are the administrator of your business's insurance policy, log in to your Business account

FOR METLIFE SECURITIES INC. REPRESENTATIVES

By clicking Submit, you agree that we* may contact you at the number you've provided, possibly using automated technology or a prerecorded voice, to talk about our products and services. If you don't want to give this permission, you can still get a quote or make a purchase by calling us directly at 1-800-638-5433

Auto Accident Claim Form

A claims specialist will be contacting you within 24 hours to discuss your claim. Please try to have the following information available:

Police report, if one was filed.

Details of damage to your vehicle.

Details of other vehicles involved in the accident (insurance information for other drivers, Vehicle Identification Numbers (VIN), vehicles’ make(s) and model(s), damages.)

Current address of your vehicle.

Contact information for other drivers, passengers and witnesses of the accident.

We're very sorry to hear you were in an accident. You can submit your vehicle claim using the form below. If you have any questions, please call our claim department at 1-800-854-6011.

Note: You must have a MetLife Auto & Home policy to use this form. If your insurance is through another company, you'll need to contact them directly.

* Indicates required FieldsPlease review highlighted fieldsAccident InjuriesMost importantly, were you or anyone else injured and/or receive medical treatment as a result of this accident?*Please select atleast one of the below options

NoYes

Policy Holder InformationFirst, we need to know a little about you and how to contact you.

First Name

Last Name

DOB*

Auto Insurance Policy Number

Driver's License Number

Preferred Phone Number

Secondary Phone Number

Email

Street Address

City

Zip

Policy Holder VehicleOK, now we need to know about your vehicle.

Vehicle Year

Vehicle Make

Vehicle Model

Vehicle Color

Vehicle License Plate

Accident InformationPlease give us details of the accident.

On which date did your accident occur?*

What time did the accident occur?*

Time of accident

Time

Where did the accident occur?

City

Who was driving your vehicle?

First Name

Last Name

Was your vehicle towed?

YesNo

Excluding the driver(s), were there passengers in any of the cars involved in the accident?

YesNo

Not including your car, how many other vehicles were involved in the accident?

Where is your car damaged as a result of this accident?*Please select atleast one of the below options

A. Hood

B. Front Bumper

C. Front passenger side fender

D. Passenger door(s)

E. Rear passenger side quarter panel

F. Rear bumper

G. Rear trunk

H. Rear driver side quater panel

I. Passenger door(s)

J. Front driver side fender

K. Roof

L. Undercarriage

M. Other (please explain damage in notes area below)

Other Driver & Vehicle InformationPlease include what you know about the other driver and vehicle, if your accident involved another car.

Other Driver's First Name

Last Name

Phone Number(include area code)

Other Vehicle Year

Vehicle Make

Vehicle Model

Vehicle License Plate

Notes:Finally, please provide an explanation of the accident including but not limited to name(s) of streets, direction vehicles were traveling, weather conditions, speed limits, along with any other information you would like to share. Please include the name(s) and contact information for any other drivers or witnesses whose information you collected but haven't already provided.

Error!

Vehicle Accidents with Injuries

Accidents involving injuries require specialized claims support. We’ll need to discuss the details of your claim with you over the phone.

Please call: 1-800-854-6011

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MetLife Products - Performance Reports & Prospectus

State

Fraud Language

AK

ALASKA LAW REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: A person who knowingly and with intent to injure, defraud, or deceive an insurance company files a claim containing false, incomplete, or misleading information may be prosecuted under state law.

AL

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or who knowingly presents false information in an application for insurance is guilty of a crime and may be subject to restitution fines or confinement in prison, or any combination thereof.

AR

The following statement is required by Arkansas Law 23-66-503(a): Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

AZ

"For your protection Arizona law requires the following statement to appear on this form: Any person who knowingly presents a false or fraudulent claim for payment of a loss is subject to criminal and civil penalties."

CA

For your protection California law requires the following to appear on this form: Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison.

CO

COLORADO LAW REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance, and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policy holder or claimant for the purpose of defrauding or attempting to defraud the policy holder or claimant with regard to a settlement or award payable for insurance proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agencies.

DC

"The District of Columbia requires us to notify you of the following: WARNING: It is a crime to provide false or misleading information to an insurer for the purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or fines. In addition, an insurer may deny insurance benefits in false information materially related to a claim was provided by the applicant."

DE

DELAWARE STATE LAW REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, files a statement of claim containing any false, incomplete or misleading information is guilty of a felony.

FL

FLORIDA LAW REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: Any person who knowingly and with intent to injure, defraud, or deceive any insurance company files a statement of claim containing any false, incomplete, or misleading information is guilty of a felony of the third degree.

ID

IDAHO LAW REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: Any person who knowingly, and with intent to defraud any insurance company, files a statement containing any false, incomplete, or misleading information is guilty of a felony.

IN

INDIANA LAW REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: A person who knowingly and with intent to defraud an insurer files a statement of claim containing any false, incomplete, or misleading information commits a felony.

KY

THE COMMONWEALTH OF KENTUCKY REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: Any person who knowingly and with intent to defraud any insurance company or other person files a statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime.

LA

LOUISIANA LAW REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

MD

THE STATE OF MARYLAND REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: Any person who knowingly and willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly and willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

ME

Maine law requires us to advise you of the following regulation per title 24-A Section 2186 (3): It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines, or denial of insurance benefits.

MN

MINNESOTA LAW REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime.

NH

New Hampshire law requires us to advise you of the following regulation: Any person who, with a purpose to injure, defraud or deceive any insurance company, files a statement of claim containing any false, incomplete or misleading information is subject to prosecution and punishment for insurance fraud as provided in section 638:20.

NJ

NEW JERSEY STATE LAW REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: Any person who knowingly files a statement of claim containing any false or misleading information is subject to criminal and civil penalties.

NM

New Mexico state law requires us to notify you of the following: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilt of a crime and may be subject to civil fines and criminal penalties.

NY

APPLICABLE TO AUTO CLAIMS: Any person who knowingly and with intent to defraud any insurance company or other person files an application for commercial insurance or a statement of claim for any commercial or personal insurance benefits containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, and any person who, in connection with such application or claim, who knowingly makes or knowingly assists, abets, solicits or conspires with another to make a false report of the theft, destruction, damage or conversion of any motor vehicle to a law enforcement agency, the department of motor vehicles or an insurance company, commits a fraudulent act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the value of the subject motor vehicle or stated claim for each violation.

NY

APPLICABLE TO HOME CLAIMS: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.

OH

OHIO STATE LAW REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.

OK

Oklahoma state law requires us to notify you of the following: WARNING: Any person who knowingly, and with any intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony.

PA

THE COMMONWEALTH OF PENNSYLVANIA REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.

RI

The Department of Business Regulation requires us to inform you of your legal time to pursue this claim. The legal time limit is commonly referred to as the statute of limitations. In the state of Rhode Island, the statute of limitations for a property damage claim is ten (10) years, and three (3) years for a bodily injury claim. If you have any questions, please feel free to contact us at the above number.

RI

Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

TN

TENNESSEE STATE LAW REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: "It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits."

TX

Please note that your policy was directly issued by Liberty County Mutual Company and is 100% reinsured and serviced by Metropolitan Property and Casualty Insurance Company.

VA

THE COMMONWEALTH OF VIRGINIA REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines, and denial of insurance benefits.

WA

THE STATE OF WASHINGTON REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: "It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits."

WV

THE STATE OF WEST VIRGINIA REQUIRES US TO NOTIFY YOU OF THE FOLLOWING: "Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison."